Neuropsychological and Employment Implications: A Case Study of
Whiting’s Patient
Introduction:
In 2005, the case study patient was involved in an automobile
accident, where he sustained a head injury (Whiting, 2005).
During a routine CT scan to check for possible brain damage, his
physicians discovered an abnormal growth within his third (3rd)
ventricle, in the approximate region of the frontal lobe. The
physicians later determined that the growth was a colloid cyst,
which is a collection of gelatinous material. On the advice of
his physicians, the patient underwent neurosurgery to have the
cyst removed, and recovered without any serious side effects.
The diagnostics, treatment, and follow-up care associated with
brain surgery are not performed in a vacuum; rather, the
appropriate level of pre-operative and post-operative care
relies on the deliberate cooperation of various parties. These
parties include the neurologist, the neurosurgeon, the
psychological and psychiatric professionals, the patient’s
spouse, his or her employer, and the patient her or himself. The
intent of this paper is to examine the roles of the
neuropsychologist and the patient’s employers in the successful
treatment, using the case study of the patient as a vehicle to
conduct this analysis. This paper will begin with a brief
overview of the frontal cortex and the 3rd ventricle, followed by
the viewpoints of the neuropsychologist and the patient’s
employer.
The Frontal Cortex: A Brief Overview
The brain’s outermost covering, the cerebral cortex, is
partitioned into four lobes: the occipital lobe, the parietal
lobe, the temporal lobe, and the frontal lobe. Although these
lobes, as well as the rest of the brain, mutually innervate each
other, each particular lobe is associated with different aspects
of behavior and information processing (Drubach, 2000). The
occipital cortex contains much of the neurons used in the
processing of visual images, the temporal lobe processes many
components used in the understanding of language, and the
parietal lobe contains the primary somatosensory cortex, the
cortical structure involved in the processing of touch
sensations and muscle and joint data. (Kalat, 2001)
Of interest to us is the frontal lobe. It extends from the
central sulcus (a deep cortical groove extending along the
coronal plane to both hemispheres of the brain) to the anterior
limits of the brain. The two main divisions of the frontal lobe
are the primary motor cortex and the pre-frontal cortex. The
latter structure, the primary motor cortex, is responsible for
the coordination of fine motor movements throughout different
Structural competence One of the things I like about this class is that I got to understand what structural competence is. In my view, structural competence refers to the trained ability to understand how structural factors affect the wellbeing of an individual. These factors can be systematic, physical, political or even founded on beliefs and language. Structural competence is also about understanding and distinguishing the difference between structural forces and individual factors. For example, a doctor that is structurally competent will not only see a person’s illness outside of his control, but will look at his socioeconomic status, like his environment or place of dwelling.
Since the beginnings of psychology the debate of nature verses nurture has been going on. Certain psychologists take the position of the nature perspective. They argue that people are born with predispositions towards certain personalities, traits and other characteristics that help shape them into the people that they become later in life. Meanwhile multiple other psychologists argue the nurture perspective. They believe that people are born as a blank slate and their experiences over the course of life help shape their personalities, traits, and other characteristics. One topic that can be argued from both perspectives is obsessive-compulsive disorder. People who develop Obsessive-Compulsive Disorder are influenced by their inherited predispositions and the events that unfold in their environment.
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Have you ever applied to a job or completed an interview, only to never hear back? These scenarios can be frustrating, especially when you don’t hear back from a job you were really excited about. While there are many reasons this could happen, many of which you have no control over, there are a few common mistakes you may be making to cost you the job.
You identified several nursing diagnosis for the patient in question, I’d like to add that each of these diagnosis will require interventions with short and long term goals. For example, as you mentioned “The altered mental status would also impact this patient’s perception of danger and his own related to his hip fracture". Altered mental status is a common chief complaint among older patients, with this patient the altered mental condition is most likely age related. A short term goal example for this patient could be as follows: after two hours of nursing intervention, the patient will be calm and report improvement with his ability to cope with is confused state. Along term goal example could be that within 12 hours
In a criminal investigation, evidence is the key to the existence of facts or circumstances that can determine the innocence or guilt of an accused during a criminal investigation and trial. There are several categories of evidence that are significant in a criminal investigation, but differ in their forms. These include physical evidence, demonstrative evidence, direct evidence and circumstantial evidence. In this presentation the major types of evidence will be defined, how they are important to an investigation, how they help the triers of fact determine what is credible, and whether overwhelming circumstantial evidence is enough to obtain a conviction.
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